HomeMy WebLinkAboutFleury appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-11-2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10680 S Ocean Dr 1108, Jensen Beach 34957
Legal Description: Island Crest Condo unit 1108 and undiv share in common elements (OR 429-1494: 3469-2155; 3470-1
Property Tax ID #: 4511-516-0115-000-4
Site Plan Name: William Fleury
Project Name: Flynn's AC Services
Setbacks Front Back: Right Side
Replace a 2T, 12 seer, AC with a 5KW heater
Jmuunai wurK ru oe enunneu unuer uus perrnu — u
HVAC LJ Gas Tank OGas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: -
Cost of Construction: S 5520
Name William Fleury
Address: 4966 Stoneleigh Rd
Lot N
Block
Left Side:
Shutters ❑ Windows/Doors
Generator 171 Roof C
S(1j �Ft.I of First Floor:
Utilities: LJ Sewer ESeptic Building Height:
City: Bloomfield Stater FL
Zip Code: 48302 Fax:
Phone No. 313-320-2911
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joe Flynn
3473-446)
Roof pitch
Company: Flynn's AC Services
Address: 1323 SW Thelma St
City: Palm City Stat=: FL
Zip Code: 34990 Fax: 781-1307
Phone No. 283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Ap iicable
Name:
Name:_
Address:
Address:
City: State:
Zip: Phone
City: St te:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
ishereby
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that Is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ancovenants that may
restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential i se
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twic for
improvements to your property. A Notice of Commencement must be recorded and posted on the j bsite
before the first Inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingwowork�or recordingour Notice of Commencement.
,�i'iGt r
Signat Owner/ L 'ee/Contractor as Agent for Owner
S' a ure of Con r/Li nse Holder
STATE OF FLORIDA ff
STATE OF FLORIDA
COUNTY OF IMc�il`I I (1
COUNTY OF V V
V V ��� i
The forgoing instr ent was acknowledged before me
The forgoing instru wLa's�a9knowl'edged before e
this day of j� 5- . 20� by
this 11 day 6f � Ia1ntt
2O1V by
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Illi vj
Name of persoh making stateme t
)!
Name of pe n making statem nt
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Produced
Produced
(Signature of Notary Public- State of Florid_ a } Brown
(Signature of Not Public- of Pipe, Bre
Commission No.YFNJBL�
Commission No. NOT BU
STAWFL IDA
STATE OF FLORIDA
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REVIEWS FRONT ZONING SUPERVISOR
120
PLANS VEGETATION SEATURTLE MA GROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
AHRI Certified Reference Number: 8641228 Date: 08-11-2018 Model Status : Active
AHRI Type: SCP-RCU-A-CB
Outdoor Unit Brand Name: NATIONAL
Outdoor Unit Model Number (Condenser or Single Package) : NCPE-424-1010
Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-24-A1
Region : Alt (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, A
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY,
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this NATIONAL product is responsible for -the ratino ofcthis system Combination_ >
f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models Oat are being
marketed but are not yet being produced"Production Stopped" Madel Status are those that an AHRI Certification Program Participant is no longer pn Icing BUT is still
sellina or offerino for sale.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no respon ibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prod ct(s), or the
unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models andconfigurations listed in the
directory at www.ahridimctory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated;
entered into a computer database; or otherwise utilized, inany form or manner or by any means, except for theuser's individual,
personal and confidential reference. AIR-CDNDITIo No, HEATIN
CERTIFICATE VERIFICATION & REFRIGERA IGN INSTITD'
The information for the model cited on this certificate can be verified at avww.ahridirectory.org, click on "Verify Certificate" link ws make Efx bsUer^
and enter the AHRI Certified Reference Number and the date on which the certificatewas issued,
which is listed above, and the Certificate No., which is listed at bottom right.
0201 MY -Conditioning, Heating, and Refrigeration institute RTIRCATE NO.: 31764784zaz�(xa